Within the framework of an extended complex phase space approach characterized by x = x1 + ip2, p = p1 + ix2, we investigate the quasi-exact solutions of an analogous Schrödinger equation for a variety of complex sextic potentials of the type V(x) = a + bx + cx2 + dx3 + ex4 + fx5 + hx6 with complex couplings. It is found that the eigenvalue spectrum in general is complex for complex couplings and real for the real parameters of the potential. While the ground state solutions for an even power sextic potential with an inverse harmonic term and for the 𝒫𝒯- symmetric version of V(x) are obtained, other variants of V(x) are also investigated with reference to the excited states.
Background:
Gastric gastrointestinal stromal tumours (GISTs) are rare neoplasms that require excision for cure. Although the feasibility of laparoscopic resection of smaller gastric GIST has been established, the feasibility and long-term efficacy of these techniques are unclear in larger lesions. This study is done to assess the feasibility of the laparoscopic resection of gastric GISTs and their long-term outcomes.
Methods:
Patients who underwent laparoscopic resection of gastric GISTs were identified in a prospectively collected database. Outcome measures included patient demographics, operative findings, morbidity and histopathologic characteristics of the tumour. Patient and tumour characteristics were analysed to identify risk factors for tumour recurrence.
Results:
There were 42 patients with a mean age of 56.7 years and had a mean tumour size was 4.5 ± 2.7 cm. Laparoscopic wedge resection was the most common procedure done. There were no major perioperative complications or mortalities. All lesions had negative resection margins. At a mean follow-up of 48 months, 36/39 (92.3%) patients were disease free and 3/39 (7.6%) had progressive disease. Univariate analysis showed that there was a statistically significant association of disease progression with tumour size, high mitotic index, tumour ulceration and tumour necrosis. The presence of >10 mitotic figures/50 high-power field was an independent predictor of disease progression.
Conclusion:
Our study establishes laparoscopic resection is feasible and safe in treating gastric GISTs for tumours >5 cm size. The long-term disease-free survival in our study shows acceptable oncological results in comparison to historical open resections.
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